National Provider Identifier [NPI]: |
1447313952 |
Last Name Of The Provider |
FERNANDEZ |
First Name Of The Provider |
CELIA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1890 ALABAMA HIGHWAY 157 |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
CULLMAN |
Zip Code Of The Provider |
350580689 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
1850 |
Number Of Medicare Beneficiaries |
437 |
Total Submitted Charge Amount |
203468.66 |
Total Medicare Allowed Amount |
130639.97 |
Total Medicare Payment Amount |
97069.31 |
Total Medicare Standardized Payment Amount |
96084.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
228 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
5191 |
Total Drug Medicare AllowedAmount |
3521.01 |
Total Drug Medicare PaymentAmount |
3054.81 |
Total Drug Medicare Standardized Payment Amount |
3054.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
1622 |
Number Of Medicare Beneficiaries With Medical Services |
437 |
Total Medical Submitted Charge Amount |
198277.66 |
Total Medical Medicare Allowed Amount |
127118.96 |
Total Medical Medicare Payment Amount |
94014.5 |
Total Medical Medicare Standardized Payment Amount |
93029.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
392 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4204 |